Abstract: A replacement device for resurfacing a joint surface of a femur and a method of making and installing such a device is provided. The custom replacement device is designed to substantially fit the trochlear groove surface, of an individual femur. Thereby creating a “customized” replacement device for that individual femur and maintaining the original kinematics of the joint. The replacement device may be defined by four boundary points, and a first and a second surface. The first of four points is 3 to 5 mm from the point of attachment of the anterior cruciate ligament to the femur. The second point is near the bottom edge of the end of the natural articulatar cartilage. The third point is at the top ridge of the right condyle and the fourth point at the top ridge of the left condyle of the femur.

Abstract: The use of implantable bulking materials for the treatment of urinary incontinence and a system for accurate positioning and delivery of bulking materials are described. The implantable materials are biocompatible, non-biodegradable implants which are designed for stabilization in soft tissue through the ingrowth of fibrous tissue after implantation. The positioning and delivery system comprises an injector which is adapted to allow a syringe to be attached and a housing. The housing includes a through cavity adapted to hold a viewing instrument, such as a cystoscope to allow accurate positioning of the injector. The housing also includes one or more injector through cavities, which are adapted to hold the injector at an angle to the viewing instrument. The angle between the viewing instrument and the injector is variably adjustable. The invention embraces the use of the bulking implants with various delivery methods, including the use of the described positioning and delivery system.

Abstract: The use of implantable bulking materials for the treatment of urinary incontinence and a system for accurate positioning and delivery of bulking materials are described. The implantable materials are biocompatible, non-biodegradable implants which are designed for stabilization in soft tissue through the ingrowth of fibrous tissue after implantation. The positioning and delivery system comprises an injector which is adapted to allow a syringe to be attached and a housing. The housing includes a through cavity adapted to hold a viewing instrument, such as a cystoscope to allow accurate positioning of the injector. The housing also includes one or more injector through cavities, which are adapted to hold the injector at an angle to the viewing instrument. The angle between the viewing instrument and the injector is variably adjustable. The invention embraces the use of the bulking implants with various delivery methods, including the use of the described positioning and delivery system.

Abstract: The metal shell of an acetabular cup has holes that allow a surgeon to screw the shell to pelvic bone. To prevent the debris of ultra-high molecular weight polyethylene ("UHMWPE") or other plastic liner in the shell from migrating through the holes, the present invention seals each screw-receiving hole with a thin UHMWPE disc. The disc snaps into an annular groove in the hole. With the disc in place, debris from the liner does not pass through the screw holes.

Abstract: The tool of the present invention comprises a stem. Cutting teeth extend outward from the stem. The stem has a central, longitudinal passage, connects to a suction or evacuation line. An outlet of the passage is at or near the cutting site. As material is cut, the suction carries the material to the central passage where it is evacuated. In one embodiment, each tooth has a cutting edge and a back side. One or more tubes connect the central passage to the back side of the cutting teeth. Suction from the central passage acts on the tubes to create suction at the cutting site. In another embodiment, the central passage is open at the distal end of the tool. Suction at the distal end cut material toward the distal end of the tool and into the central passage where it is evacuated from the tool.